Thank you for considering Direct Merchant Services Ltd for providing you with the Internet payment solution. This form will allow us to undertake a speedy business assessment of your company as a potential member using our service.

Information that you provide will be utilised by Direct Merchant Services solely for its own use, in providing you with a proposal and will not be divulged to any other parties. If in the event that you decide not to use the services of Direct Merchant Services, we will immediately and irrevocably delete or destroy all information pertaining to your particular application.

This form is not legally binding, and does not constitute an offer from Direct Merchant Services to offer you a payment solution. Nor by completing this form are you contracting yourself to use Direct Merchant Services.

If you require any assistance in completing this form, please contact us at info@directmerchantservices.com or call +44 (0)1604 667211 ext 224

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